Berens R, Pontus S P
Department of Anesthesiology, Medical College of Wisconsin, Children's Hospital of Wisconsin, Milwaukee 53201.
Reg Anesth. 1990 Nov-Dec;15(6):309-10.
A case describing a 2-day-old term male infant who received a dorsal penile nerve block (DNPB) prior to circumcision, inadvertently with 1:1000 epinephrine, is presented. The patient had a brief hemodynamic response followed by profound vasoconstriction and ischemia of the genitalia. A caudal catheter was inserted and a sympathetic block established in an attempt to antagonize the epinephrine-induced vasoconstriction. The patient's condition improved and no residual effects of the ischemia were noted. A review of complications associated with DNPB and of epinephrine-induced penile ischemia is briefly discussed.
本文介绍了一例病例，一名足月男婴在出生2天时接受包皮环切术前的阴茎背神经阻滞（DNPB），意外使用了1:1000肾上腺素。患者出现短暂的血流动力学反应，随后生殖器出现严重血管收缩和缺血。插入尾导管并建立交感神经阻滞，试图对抗肾上腺素引起的血管收缩。患者病情改善，未发现缺血的残留影响。本文简要讨论了与阴茎背神经阻滞相关的并发症以及肾上腺素引起的阴茎缺血。
